Program Management Lead Analyst - Encore Program - Remote

Cigna Healthcare

1d • Remote

About The Position

Make a meaningful impact at the intersection of clinical insight and client innovation. As a Program Management Lead Analyst, you will play a critical role supporting our Client Growth & Innovations (CGI) Clinicians by transforming complex clinical and claims data into clear, actionable insights. Your work helps strengthen provider partnerships, supports client decision-making, and advances our commitment to better health outcomes, affordability, and experience.

Requirements

• 3+ years of clinical or clinical support experience.
• Strong analytical and research skills with the ability to interpret complex clinical and claims information.
• Experience reviewing medical records and summarizing clinical findings.
• Effective written and verbal communication skills, with the ability to convey insights clearly to diverse stakeholders.
• Strong organizational and time management skills, with comfort managing multiple priorities.
• If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

• Bachelor’s degree in a related field.
• 5+ years of clinical or related healthcare experience.
• Experience with CPT and ICD-10 coding.
• Proficiency in Microsoft Office and healthcare technology platforms.
• Demonstrated ability to influence, collaborate, and drive outcomes across cross-functional teams.

Responsibilities

• Deliver timely, high-quality clinical and claims insights that enable CGI Clinicians to support client and broker engagements.
• Analyze, investigate, and summarize HCC data, including TC131 and TC56 reports, to inform Total Health Insight deliverables and external clinician meetings.
• Conduct comprehensive clinical summary reviews for high-cost claimants in alignment with established clinical and corporate guidelines.
• Interpret medical records and claims data to identify trends, risks, and opportunities that support strategic recommendations.
• Synthesize findings into clear, executive-ready summaries for Market Medical Executives and Nurse Executives.
• Lead or contribute to small- to mid-sized projects focused on improving processes, quality, and efficiency.
• Partner effectively across a matrixed organization, building trust and momentum in a fast-paced, evolving environment.
• Apply a working knowledge of core clinical programs, products, and systems (e.g., ICMS, CCMS, HEV, OneView, TruCare) to support business outcomes.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level